The Particulars: Identification of HIV infection before or during pregnancy allows for interventions that can reduce perinatal transmission risk to less than 1%. Prenatal HIV testing rates among commercially insured women with deliveries in 2009 to 2010 in the United States are unknown.

Data Breakdown: For a study, investigators analyzed records for 173,882 deliveries in 2009 and 177,930 in 2010. Claims for HIV testing in the 293 days prior to delivery were identified for 74.7% of deliveries in 2009 and 75.7% of deliveries in 2010.

Take Home Pearls: Approximately 25% of commercially insured women who delivered a baby in 2009 or 2010 appear to have had no claim for HIV testing during pregnancy. The finding highlights ongoing misses opportunities for perinatal HIV prevention.